Active NPI
Frederick Stanley Wreford III, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 04-41791
- Practice address
- 7301 College Blvd Ste 110
Overland Park, KS 66210 - Phone
- (913) 341-6297
- Fax
- (913) 341-6299
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 04-41791 | KS | Primary |
Addresses
Primary practice location
7301 College Blvd Ste 110
Overland Park, KS 66210
Mailing address
7301 College Blvd Ste 110
Overland Park, KS 66210-1856
Phone (913) 341-6297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-0-73-0373-1 | Other | MI | BCBS PIN OR CPC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
Hospital & facility affiliations
- Anderson Hospital
- Community Hospital of Staunton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-41791 | KS | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care Group | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Advance Pathology Services P.C. | Past | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Anatomic Pathology & Clinical Pathology, IL
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Clinical Medical Laboratory
- Cadillac, MI
- NPI 1962791509
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- Critical Access Hospital
- Staunton, IL
- NPI 1750308631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1942289673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 COLLEGE BLVD STE 110",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101856",
"telephone_number": "913-341-6297",
"fax_number": "913-341-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 COLLEGE BLVD STE 110",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66210",
"telephone_number": "913-341-6297",
"fax_number": "913-341-6299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WREFORD",
"first_name": "FREDERICK",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KS",
"license": "04-41791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN OR CPC",
"identifier": "22-0-73-0373-1",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.